Tiêu đề RECALLS 12 - NP3 - SC ✅

1 | Page RECALLS 12 EXAMINATION NURSING PRACTICE III CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART A) NOV 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation: Nurse Joy is caring for multiple clients with renal failure. 1. Nurse Joy is assigned to Mr. Ramon who is a patient who underwent hemodialysis. Before discharge, Nurse Joy discussed care at home with Mr. Ramon and his wife. Which statement by Mr. Ramon’s wife indicates that further teaching is required? A. "I must touch the shunt several times a day to feel for the bruit." B. "I have to take his blood pressure every day in the arm with the fistula." C. "I will remind my husband to be careful not to lie on the arm with the fistula" D. "We should check the fistula every day for signs of redness and swelling” 2. Nurse Joy obtained the laboratory results of all her clients. Which of the following can cause glomerular injury and an increased risk of renal failure for a client? A. Cystitis with urine culture positive for E. coli B. Presence of red blood cell casts in the urine Blood urea nitrogen (BUN) level of 15mg/dL C. Hypotension and increased volume of very dilute urine D. Absence of red blood cells and white blood cells in the urine 3. Nurse Joy is caring for a client diagnosed with acute renal failure. Which of the following would indicate that the client is uremic? A. BUN of 35mg/dl B. Serum calcium of 9.2 mg/dl C. Serum potassium of 2.8 mg/dl D. Urine specific gravity of 1.030 4. Nurse Joy is reviewing the client's morning laboratory results. Which of these results most concern Nurse Joy? A. Serum potassium level of 5.2 mEq/L B. Serum sodium level of 134 mEq/L C. Serum calcium level of 10.6 mg/dL D. Serum magnesium level of 0.5 mEq/L Situation: Peptic ulcer disease (PUD) is a common and often painful condition affecting millions of people worldwide.   5. A client is experiencing peptic ulcer disease caused by Helicobacter pylori. The nurse should plan to administer Clarithromycin (Biaxin) with which of the following oral drugs?  A. Tetracycline (Achromycin) with sodium bicarbonate (baking soda) B. Metronidazole (Flagyl) and aluminum hydroxide (Amphogel) C. Amoxicillin (Amoxil) and Omeprazole (Prilosec) D. Penicillin (Pen-G) and nizatidine (Axid) 6. The nurse is caring for Mrs. Rivera who is admitted due to 6-year history of gastric ulcers. The nurse instructs this client to take which of the following drugs for minor aches and pains? A. Acetaminophen (Tylenol) B. Buffered aspirin C. Plain aspirin D. Ibuprofen (Motrin) 7. Mr. Quezon develops dumping syndrome after a subtotal gastrectomy for cancer of the stomach. When caring for this client, the nurse understands that dumping syndrome refers to: A. Nausea resulting from a full stomach B. Reflux of intestinal contents into the esophagus C. Passage of osmotic fluid into the jejunum D. Build-up of feces and gas within the large intestine 8. A client with gastric tumor is scheduled for a Billroth II procedure. The nurse explains the procedure to the client and tells the client that the: A. Proximal end of the distal stomach is anastomosed to the duodenum. B. Antrum of the stomach is removed with the remaining portion anastomosed to the duodenum. C. Entire stomach is removed and the esophagus is anastomosed to the duodenum. D. Lower portion of the stomach is removed and the remainder is anastomosed to the jejunum. 9. Alvin, a client who has a history of seizure disorder is newly diagnosed with a gastric ulcer, has maintained seizure-free status using phenytoin (Dilantin). The nurse would question a new order for which of the following drugs to treat symptoms caused by the ulcer? A. Famotidine (Pepcid) B. Cimetidine (Tagamet) C. Nizatidine (Axid) D. Ranitidine (Zantac) Situation: Nurse Brian is caring for patients with congestive heart failure in the medical ward of Toprank Hospital and Medical Center.   10. What interventions should Nurse Brian prioritize when managing an exacerbation of left-sided heart failure? Select all that apply: 1.  Metered dose Inhaler of albuterol 2.  High-Fowler's position 3.  Oxygen 4.   IV fluids 5.   Incentive Spirometer 6.  Diuretics A. 2,3,6 B. 1,5,6 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *